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1003100975
WALTER DUANE IRVIN
PORTSMOUTH, OH
NPI
1003100975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN.142391-M-IV)
Enumeration Date
2011-06-08
Last Update Date
2011-06-08
Business Address
Mr. WALTER DUANE IRVIN lpn
410 CAMPBELL AVE
PORTSMOUTH, OH 45662-4465
Phone number: 740-354-9051
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Mailing Address
Mr. WALTER DUANE IRVIN lpn
410 CAMPBELL AVE
PORTSMOUTH, OH 45662-4465
Phone number: 740-354-9051
Copy
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